scholarly journals Eliminating dog-mediated rabies: challenges and strategies

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Harish Kumar Tiwari ◽  
Jully Gogoi-Tiwari ◽  
Ian D. Robertson
Keyword(s):  
Rural Areas ◽  
One Health ◽  
Management Practices ◽  
National Level ◽  
Wound Management ◽  
Post Exposure Prophylaxis ◽  
Urban And Rural Areas ◽  
Exposure Prophylaxis ◽  
And Control ◽  
Multiple Interventions

AbstractRabies is an acute encephalitis caused by a lyssavirus. It is primarily transmitted through bites of infected dogs which results in the worldwide death of an estimated 59000 humans every year. The disease is preventable through the application of post-exposure prophylaxis (PEP) and its elimination has been demonstrated in many countries by applying multiple interventions simultaneously. Nonetheless, rabies is still widespread in many developing countries, primarily due to the poor implementation of intervention strategies that include inadequate dog-bite wound management practices, unavailability/unaffordability of PEP by the communities, failure to control the disease in free-roaming dogs and wildlife, improper dog population management, weak surveillance and diagnostic facilities and a lack of a One Health approach to the disease. In this review, strategies to control dog-mediated rabies through a One Health approach were discussed. We recommend applying multiple interventions against the disease by involving all the concerned stakeholders in selected urban and rural areas of the countries where rabies is endemic. An empirical demonstration of disease freedom in the selected areas through a One Health approach is needed to convince policymakers to invest in rabies prevention and control on the national level. This multifaceted One Health control model will enhance the likelihood of achieving the goal of global rabies eradication by 2030.

scholarly journals Occupational Safety and Hygiene of Dentists from Urban and Rural Areas in Terms of Sharp Injuries: Wound Structure, Causes of Injuries and Barriers to Reporting—Cross-Sectional Study, Poland

2018 ◽  
Vol 15 (8) ◽  
pp. 1655 ◽  
Author(s):  
Anna Garus-Pakowska ◽  
Mariusz Górajski ◽  
Ewelina Gaszyńska
Keyword(s):  
Rural Areas ◽  
Antiretroviral Treatment ◽  
Occupational Safety ◽  
Cross Sectional Study ◽  
Post Exposure Prophylaxis ◽  
Cross Sectional ◽  
Urban And Rural Areas ◽  
Exposure Prophylaxis ◽  
The Village ◽  
The City

(1) Background: Frequent contact of the dentist with potentially infectious material (PIM) is undeniable. The aim of the study was to determine the frequency and type of injuries, as well as to identify barriers to reporting and barriers to the implementation of post-exposure prophylaxis (PEP) among dentists from urban and rural areas. (2) Methods: We surveyed 192 dentists using an anonymous questionnaire. (3) Results: During the 12 months preceding the survey, 63% of dentists from the village and 58.8% of dentists from the city suffered at least one superficial cut, and deep cuts 15.1% and 17.6% respectively. Contact with PIM through spitting on the conjunctiva was 58.9% and 52.1% (village vs. city). Needle stick injuries were 50.4% and fingers were affected in 48.8% cases. The causes of injuries were: inattention 54.7%, rush 27%, unpredictable behavior of the patient 19%, recapping 18.2%. Work in the countryside was associated with a 1.95-times greater chance of not reporting injuries. The distance from a hospital with antiretroviral treatment may be a barrier to the implementation of PEP. (4) Conclusion: The circumstances of the injuries and the reasons for not applying for antiretroviral treatment point to the areas of necessary dentist education in this topic.

scholarly journals Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey

2021 ◽  
Vol 18 (2) ◽  
pp. 545
Author(s):  
Chensong Lin ◽  
Longfeng Wu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Empirical Studies ◽  
National Level ◽  
The Elderly ◽  
Coverage Ratio ◽  
Self Rated Health ◽  
Health Promoting ◽  
Major River ◽  
Urban And Rural Areas

Many empirical studies have shown evidence of multiple health benefits provided by green and blue spaces. Despite the importance of these spaces, investigations are scarce in details for blue spaces rather than green. Moreover, most research has focused on developed regions. A limited number of studies on blue spaces can be found in China with a focus on the city level. Outcomes have been mixed due to varying research scales, methodologies, and definitions. This study relies on a national-level social survey to explore how the self-rated health (SRH) of senior individuals is associated with local green and blue space availability in urban and rural areas. Results indicate that the coverage ratio of overall green spaces and waterbodies around a resident’s home have marginal effects on SRH status in both urban and rural areas. In urban areas, living close to a park can is marginally beneficial for older people’s health. Regarding different types of blue spaces, the presence of a major river (within 0.3–0.5 km) or coastline (within 1 km and 1–5 km) in the vicinity of home negatively affects SRH among the elderly in urban areas. Close proximity to lakes and other types of waterbodies with a water surface larger than 6.25 ha did not significantly influence SRH. These findings not only evaluate general health impacts of green/blue space development on senior populations across the county but inform decision makers concerning the health-promoting qualities and features of different green/blue spaces to better accommodate an aging population in the era of urbanization.

Influence of community satisfaction with individual happiness: comparative study in semi-urban and rural areas of Tikapur, Nepal

2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  
Keyword(s):  
Rural Areas ◽  
Physical Environment ◽  
Urban Areas ◽  
Positive Relationship ◽  
National Level ◽  
Medical Services ◽  
Community Satisfaction ◽  
Critical Factors ◽  
Urban And Rural Areas

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.

scholarly journals Post-exposure prophylaxis vaccination rate and risk factors of human rabies in mainland China: a meta-analysis

2018 ◽  
Vol 147 ◽  
Author(s):  
D. L. Wang ◽  
X. F. Zhang ◽  
H. Jin ◽  
X. Q. Cheng ◽  
C. X. Duan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Meta Analysis ◽  
Mainland China ◽  
Vaccination Rate ◽  
Human Rabies ◽  
Post Exposure Prophylaxis ◽  
Eastern Region ◽  
Post Exposure ◽  
Exposure Prophylaxis

AbstractRabies is one of the major public health problems in China, and the mortality rate of rabies remains the highest among all notifiable infectious diseases. A meta-analysis was conducted to investigate the post-exposure prophylaxis (PEP) vaccination rate and risk factors for human rabies in mainland China. The PubMed, Web of Science, Chinese National Knowledge Infrastructure, Chinese Science and Technology Periodical and Wanfang databases were searched for articles on rabies vaccination status (published between 2007 and 2017). In total, 10 174 human rabies cases from 136 studies were included in this meta-analysis. Approximately 97.2% (95% confidence interval (CI) 95.1–98.7%) of rabies cases occurred in rural areas and 72.6% (95% CI 70.0–75.1%) occurred in farmers. Overall, the vaccination rate in the reported human rabies cases was 15.4% (95% CI 13.7–17.4%). However, among vaccinated individuals, 85.5% (95% CI 79.8%–83.4%) did not complete the vaccination regimen. In a subgroup analysis, the PEP vaccination rate in the eastern region (18.8%, 95% CI 15.9–22.1%) was higher than that in the western region (13.3%, 95% CI 11.1–15.8%) and this rate decreased after 2007. Approximately 68.9% (95% CI 63.6–73.8%) of rabies cases experienced category-III exposures, but their PEP vaccination rate was 27.0% (95% CI 14.4–44.9%) and only 6.1% (95% CI 4.4–8.4%) received rabies immunoglobulin. Together, these results suggested that the PEP vaccination rate among human rabies cases was low in mainland China. Therefore, standardised treatment and vaccination programs of dog bites need to be further strengthened, particularly in rural areas.

scholarly journals A cross sectional study to assess the knowledge and response to dog bite among the urban and rural population of Hubballi taluk

2019 ◽  
Vol 6 (2) ◽  
pp. 539
Author(s):  
Maneesha Godbole ◽  
Anjana Ramachandra Joshi ◽  
Dattatraya D. Bant
Keyword(s):  
Management Practices ◽  
Cross Sectional Study ◽  
Wound Management ◽  
Economic Losses ◽  
Post Exposure Prophylaxis ◽  
Sectional Study ◽  
Dog Bite ◽  
Cross Sectional ◽  
Canine Rabies ◽  
Rabies Prevention

Background: Rabies is a fatal zoonotic disease of the central nervous system, most commonly caused by the bite of rabid dogs. Globally canine rabies causes 59,000 human deaths, over 3.7 million DALYs and 8.6 billion USD economic losses annually. These losses are due to a lack of knowledge about wound management and post-exposure prophylaxis. The objective of the study was to assess the knowledge and practices following dog bite and its management among the urban and rural population.Methods: A cross-sectional study was conducted in the field practice area of KIMS, Hubli. 120 households of the urban and rural locality were interviewed with a semi-structured pretested questionnaire.Results: Overall 89.16% of the study population was aware that the disease can be prevented by vaccination. 35% of the rural and 28% of the urban population believed that the disease can spread from person to person. The knowledge about the site and the number of doses of vaccine was poor among both the population. The harmful practices for treatment of bite were still prevalent among both rural (25%) and urban (8.3%) population.Conclusions: The knowledge about the dog bite management and Rabies prevention is insufficient among both populations. There are myths and misconceptions about the disease and wound management. Practices like application of harmful substances like lime, turmeric, mud are the problems hindering rabies prevention and control. Proper steps need to be taken up to control the canine rabies.

scholarly journals BOVISOL Project: Breeding and Management Practices of Indigenous Bovine Breeds: Solutions towards a Sustainable Future

2020 ◽  
Vol 12 (23) ◽  
pp. 9891
Author(s):  
Sofiane Boudalia ◽  
Samia Ben Said ◽  
Dimitrios Tsiokos ◽  
Aissam Bousbia ◽  
Yassine Gueroui ◽  
...  
Keyword(s):  
Climate Change ◽  
Rural Areas ◽  
Management Practices ◽  
National Level ◽  
Farming Systems ◽  
World Population ◽  
Livestock Farming ◽  
Slow Food ◽  
Sustainable Future ◽  
Mediterranean Countries

In order to deal with the effects of globalization, urbanization, increase in world population, global warming, and climate change; and according to the Sustainable Development Goals (SDG) 2 targets, which aim to end hunger, achieve food security and improved nutrition and promote sustainable agriculture, it is urgently needed to transform our agriculture and livestock farming systems by taking into account the environmental considerations. The Breeding and management practices of indigenous bovine breeds: Solutions towards a sustainable future (BOVISOL) project is a scientific cooperation between three Mediterranean countries (Greece, Tunisia and Algeria) supported and funded by the European Commission under the European Research Area Networks (ERA-NET) scheme of the 7th Framework Programme. This project has been formed around the hypothesis that the local bovine breeds must be preserved since they possess a valuable genetic pool, and they are a part of the landscape and the biodiversity of rural areas. Moreover, their products (milk, cheese, meat, etc.) could contribute significantly to the local economies as they could easily be associated with recent food trends like “local” and “slow food”, which are considered today, as, not only a mean of nutrition, but also a way of living and a part of people’s identity. BOVISOL project aims to: (i) identify the local breeds and populations in a national level, (ii) describe the existing farm and breeding practices, (iii) analyze the quality of the main local animal products, (iv) propose solutions that will promote the sustainability of the traditional farming systems, especially nowadays that climate change proposes new challenges on animal production, and (v) disseminate the solutions on all the levels of the sector (farmers, scientists, local communities, governmental agencies).

scholarly journals Assessing women's satisfaction with family planning services in Mozambique

2016 ◽  
Vol 43 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Leonardo Chavane ◽  
Martinho Dgedge ◽  
Patricia Bailey ◽  
Osvaldo Loquiha ◽  
Marc Aerts ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
User Satisfaction ◽  
National Level ◽  
Quality Of Healthcare ◽  
Family Planning Services ◽  
Health Service Provision ◽  
Urban And Rural Areas ◽  
The Impact

BackgroundThe contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.MethodsAcknowledging the importance of user satisfaction in the utilisation of health services, exit interviews were used to assess women's satisfaction with FP services in Mozambique. The survey, conducted in 174 health facilities, was representative at the national level, covered all provinces, and both urban and rural areas.ResultsOverall, 86% of respondents were satisfied with FP services, but issues such as insufficient supplies of oral contraceptives and the low quality of healthcare provider/client interactions were given as reasons for women's dissatisfaction.ConclusionDefined actions at the level of health service provision are needed to tackle the identified issues and ensure improved satisfaction with, and better utilisation of, FP services in Mozambique.

scholarly journals A community study of prevalence, awareness, treatment and control of hypertension and diabetes mellitus in urban and rural areas of Delhi, India

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P1594-P1594
Author(s):  
A. Roy ◽  
P. A. Praveen ◽  
K. Anand ◽  
A. Ritvik ◽  
R. Lakshmy ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Rural Areas ◽  
Community Study ◽  
Urban And Rural Areas ◽  
And Control

scholarly journals Outbreak investigation and control measures following dengue fever cases in Vadodara, July-August 2017

2019 ◽  
Vol 6 (12) ◽  
pp. 5224
Author(s):  
Raman D. Damor ◽  
Jyotsna F. Maliwad ◽  
Kalpita S. Shringarpure ◽  
Bansari L. Chawda ◽  
Neelam N. Pandya ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Rural Areas ◽  
Control Measures ◽  
Outbreak Investigation ◽  
Community Members ◽  
Cross Sectional ◽  
Fever Case ◽  
Tropical Regions ◽  
Urban And Rural Areas ◽  
And Control

Background: Dengue fever is one of the major public health problems among all the vector born diseases. It is an emerging disease of tropical and sub-tropical regions, affecting urban, peri-urban and rural areas. Twenty five cases of dengue fever were reported in our hospital and other private hospitals from Undera village, which is in the peri urban area of Vadodara, so an investigation was carried out. The objective of this study is to find out the incidence and demographic details of people affected by fever during the outbreak and to find the environmental factors responsible for the outbreak.Methods: Community based, cross-sectional, direct interviewing of community members of Undera village in Vadodara district was carried out on 21st August 2017 and 23rd August 2017.Results: In this outbreak investigation, 219 fever cases were reported from 2930 population residing in 645 houses. There were 25 confirmed cases of dengue fever, out of which three deaths were reported. This included one pregnant woman during this outbreak. Seventy percent of fever cases were in the age group 0-30 years. Daily wagers were affected more than other occupations. At least one fever case was reported from 109 houses. Breeding places for mosquitoes were observed surrounding the houses from were fever cases reported.Conclusions: The dengue fever outbreak was confirmed through laboratory as well as clinico-epidemiological correlation with confirmed clinical picture and presence of breading places of Aedes mosquitoes. The fatality rate was 12% and there were three complicated deaths.

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